Lucas, Julie Rose
Lucas, Julie Rose is an sole proprietor health care provider with primary practice located at 75 S University Blvd Ucom 6000 A, Mobile AL 36688-0002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lucas, Julie Rose can be contacted via phone (251) 660-5787.Contact Information
Primary practice address
75 S University Blvd Ucom 6000 A
Mobile AL 36688-0002
Phone: (251) 660-5787
Fax: (251) 660-5540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-217 | Alabama |
Profile Details
| NPI number | 1780623942 |
|---|---|
| LBN Legal business name | Lucas, Julie Rose |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | May 12th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780623942 | NPPES |
| Alabama | MEDICAID | 009930270 | |
| Alabama | MEDICAID | 0124863 | |
| Alabama | Other | 51098015 | |
| Alabama | Other | 51098018 |
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